{"id":633737,"date":"2026-04-21T09:16:22","date_gmt":"2026-04-21T07:16:22","guid":{"rendered":"https:\/\/kohenavocats.com\/cour-dappel-de-grenoble-le-6-novembre-2025-n23-03592\/"},"modified":"2026-04-21T09:16:22","modified_gmt":"2026-04-21T07:16:22","slug":"cour-dappel-de-grenoble-le-6-novembre-2025-n23-03592","status":"publish","type":"post","link":"https:\/\/kohenavocats.com\/ar\/cour-dappel-de-grenoble-le-6-novembre-2025-n23-03592\/","title":{"rendered":"Cour d’appel de Grenoble, le 6 novembre 2025, n\u00b023\/03592"},"content":{"rendered":"
\n

Cour d’appel de Grenoble, chambre civile, rend le 6 novembre 2025 un arr\u00eat en mati\u00e8re de responsabilit\u00e9 m\u00e9dicale. Une patiente, ayant subi une intervention chirurgicale du rachis suivie de complications, engage la responsabilit\u00e9 du chirurgien. La cour, statuant sur appel, rejette les demandes en nullit\u00e9 de l’expertise civile et retient la responsabilit\u00e9 du praticien pour faute dans l’indication op\u00e9ratoire et manquement \u00e0 l’obligation d’information. Elle condamne in solidum le chirurgien et son assureur \u00e0 indemniser les pr\u00e9judices de la victime et la Caisse primaire d’assurance maladie.<\/p>\n

La validation probatoire de l’expertise contest\u00e9e<\/p>\n

La recevabilit\u00e9 du rapport d’expertise civile est confirm\u00e9e malgr\u00e9 les critiques. Les intim\u00e9s soutenaient la nullit\u00e9 de cette expertise, estimant que le principe du contradictoire n’avait pas \u00e9t\u00e9 respect\u00e9 et que l’expert n’avait pas proc\u00e9d\u00e9 \u00e0 un examen personnel des pi\u00e8ces. La cour \u00e9carte ces arguments en relevant plusieurs \u00e9l\u00e9ments de r\u00e9gularit\u00e9 proc\u00e9durale. Elle constate notamment que l’expert a convoqu\u00e9 toutes les parties \u00e0 une r\u00e9union sur pi\u00e8ces et que le chirurgien a bien communiqu\u00e9 les documents qu’il jugeait utiles. La cour souligne que “l’expert civil a r\u00e9alis\u00e9 un examen personnel des pi\u00e8ces soumises \u00e0 son appr\u00e9ciation” (Motifs, Sur la demande en nullit\u00e9). Elle ajoute que la convergence des conclusions avec une expertise p\u00e9nale ant\u00e9rieure ne suffit pas \u00e0 entacher la validit\u00e9 du rapport. Cette analyse consolide la valeur probante des expertises sur pi\u00e8ces men\u00e9es dans le respect des droits de la d\u00e9fense. Elle rappelle que la r\u00e9gularit\u00e9 de la communication des pi\u00e8ces et la r\u00e9ponse aux dires des parties garantissent la loyaut\u00e9 de la proc\u00e9dure. La port\u00e9e de cette solution est de confirmer que le juge peut valablement s’appuyer sur un tel rapport d\u00e8s lors que les conditions du contradictoire ont \u00e9t\u00e9 observ\u00e9es en cours d’instance.<\/p>\n

La caract\u00e9risation de la faute m\u00e9dicale et du d\u00e9faut d’information<\/p>\n

La responsabilit\u00e9 du chirurgien est retenue au double titre d’une faute dans l’indication th\u00e9rapeutique et d’un manquement \u00e0 son obligation d’information. Concernant la faute, la cour rel\u00e8ve que la d\u00e9cision d’intervenir a \u00e9t\u00e9 prise avec pr\u00e9cipitation lors d’une unique consultation, sans explorations compl\u00e9mentaires ni v\u00e9ritablement envisager d’alternatives. Elle estime que l’intervention initiale “n’\u00e9tait pas en coh\u00e9rence avec l’\u00e9tat ant\u00e9rieur” de la patiente et a “fait courir \u00e0 celle-ci des risques disproportionn\u00e9s par rapport au b\u00e9n\u00e9fice escompt\u00e9” (Motifs, Sur la responsabilit\u00e9). S’agissant de l’information, la cour constate l’absence de preuve d’une information compl\u00e8te sur les risques, notamment infectieux ou cardiaques, et sur les alternatives non chirurgicales. Elle juge que les documents g\u00e9n\u00e9riques remis sont insuffisants et que ce d\u00e9faut a caus\u00e9 un pr\u00e9judice d’impr\u00e9paration. La cour rappelle que “le non-respect, par un professionnel de sant\u00e9, de son devoir d’information sur les risques fr\u00e9quents ou graves normalement pr\u00e9visibles (…) cause (…) un pr\u00e9judice moral distinct” (Motifs, Sur la responsabilit\u00e9). Cette double condamnation illustre l’exigence d’une d\u00e9marche m\u00e9dicale prudente et d’un consentement pleinement \u00e9clair\u00e9. Sa port\u00e9e est de souligner que l’obligation d’information, autonome, peut engager la responsabilit\u00e9 ind\u00e9pendamment de l’existence d’une faute technique.<\/p>\n

La liquidation des pr\u00e9judices et le sort des cr\u00e9ances<\/p>\n

La cour proc\u00e8de \u00e0 une liquidation d\u00e9taill\u00e9e des pr\u00e9judices de la victime et statue sur la cr\u00e9ance de l’assurance maladie. Les pr\u00e9judices corporels sont \u00e9valu\u00e9s sur la base du rapport d’expertise, conduisant \u00e0 une indemnisation globale de 214 645,88 euros. La cour pr\u00e9cise que l’assistance par tierce personne, temporaire ou permanente, s’indemnise sans qu’il soit besoin de justificatifs financiers et sans d\u00e9duction d’une \u00e9ventuelle prestation de compensation du handicap. Elle alloue \u00e9galement des sommes distinctes pour le pr\u00e9judice d’impr\u00e9paration et pour un pr\u00e9judice moral li\u00e9 \u00e0 des inexactitudes dans le dossier m\u00e9dical. Concernant la cr\u00e9ance de la Caisse primaire d’assurance maladie, la cour l’accueille \u00e0 hauteur de 65 703,23 euros. Elle organise cependant le recouvrement en tenant compte de la proc\u00e9dure collective ouverte \u00e0 l’encontre du chirurgien. Elle fixe la cr\u00e9ance au passif de cette proc\u00e9dure et condamne in solidum l’assureur \u00e0 son paiement. Cette articulation prot\u00e8ge les droits de la caisse tout en respectant les r\u00e8gles du droit des proc\u00e9dures collectives. La valeur de cette d\u00e9cision r\u00e9side dans sa d\u00e9monstration m\u00e9thodique de l’\u00e9valuation des chefs de pr\u00e9judice et dans la gestion coh\u00e9rente des responsabilit\u00e9s solidaire et personnelle.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Cour d’appel de Grenoble, chambre civile, rend le 6 novembre 2025 un arr\u00eat en mati\u00e8re de responsabilit\u00e9 m\u00e9dicale. Une patiente, ayant subi une intervention c…<\/p>\n","protected":false},"author":232070755,"featured_media":9642,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_kj_source_type":"judilibre","_kj_official_id":"68f07f4047396eb608bc05dc","_kj_official_url":"https:\/\/www.courdecassation.fr\/decision\/68f07f4047396eb608bc05dc","_kj_judilibre_id":"68f07f4047396eb608bc05dc","_kj_jur":"Cour d'appel","_kj_lieu":"Cour d'appel de Grenoble","_kj_chambre":"Chambre civile section A","_kj_rg":"23\/03592","_kj_date":"2025-10-14","_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[7597],"tags":[],"class_list":["post-633737","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-jurisprudence"],"yoast_head":"\nCour d'appel de Grenoble, le 6 novembre 2025, n\u00b023\/03592 - Ma\u00eetre Hassan Kohen, avocat en droit p\u00e9nal \u00e0 Paris<\/title>\n<meta name=\"description\" content=\"Cour d'appel de Grenoble, chambre civile, rend le 6 novembre 2025 un arr\u00eat en mati\u00e8re de responsabilit\u00e9 m\u00e9dicale. 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